Blood ratio may replace fancy machines in ICU nutrition monitoring
NCT ID NCT07412366
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looks at whether the urea-to-creatinine ratio in blood can track metabolic changes in patients with septic shock. Currently, doctors use a special machine (indirect calorimetry) to measure energy needs, but it's not always available. Researchers will compare the simple blood ratio to the machine's readings in 40 ICU patients on ventilators. If the ratio works, it could offer a cheap, easy way to guide nutrition therapy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this could give doctors a simple blood test to guide nutrition in septic shock patients, improving recovery without needing expensive equipment.
- What could go wrong
- This is a small observational study (40 patients) that only looks for a correlation. It won't prove the ratio improves outcomes, and results may not apply to patients with kidney problems.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 40 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Apr 2026
An estimate. Start dates often move.
- Expected to finish
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Oct 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Adult patients with septic shock, defined according to Sepsis-3 criteria, admitted to a 53-bed medical-surgical intensive care unit between April 2026 and March 2027. Eligible patients will be required to have undergone invasive mechanical ventilation for at least three consecutive days and to have had energy expenditure measured by indirect calorimetry.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: Adult patients with septic shock, defined according to Sepsis-3 criteria, admitted to a 53-bed medical-surgical intensive care unit between April 2026 and March 2027. Eligible patients will be required to have undergone invasive mechanical ventilation for at least three consecutive days - Exclusion Criteria:Patients will be excluded if they had a serum creatinine level greater than 4.0 mg/dL at hospital admission, chronic kidney disease requiring dialysis, initiation of renal replacement therapy during ICU stay, or if they require an inspired oxygen fraction (FiO₂) greater than 70% on the fourth day of mechanical ventilation. \-
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Chilling fever: can cooling septic shock patients save lives?
- Bedside eye scans may reveal hidden blood flow problems in septic shock
- Can two blood markers catch sepsis before it turns deadly?
- Two cheap blood ratios put to the test as sepsis death predictors
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- Can a computer model speed up sepsis blood tests?